Healthcare Provider Details

I. General information

NPI: 1497181507
Provider Name (Legal Business Name): LINDSEY ANN MEHRAN-REZAII DNP, RN, CNP, MSCP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2013
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14665 GALAXIE AVE STE 140
APPLE VALLEY MN
55124-4509
US

IV. Provider business mailing address

8101 34TH AVE S MS26602G
BLOOMINGTON MN
55425-1692
US

V. Phone/Fax

Practice location:
  • Phone: 651-456-8494
  • Fax:
Mailing address:
  • Phone: 952-883-6805
  • Fax: 952-883-6117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number2013016618
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number2013016618
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: